direct debit form

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Instruction to your Bank or
Building Society to pay
by Direct Debit
What is your Orbit account address?
Or your Orbit Account reference?
Please fill in the whole form including
official use box using a ball point pen and
send to:
Originator's Identification Number
977468
Please complete the details requested in this section
This is not part of the instruction to your Bank or Building Society.
FREEPOST ORBIT INCOME TEAM
Or alternatively scan it and send it to:
income.compliance@orbit.org.uk
Name[s] of account holder[s]:
Bank / building society account number:
Branch Sort code:
-
-
Name and full address of your bank or
building society:
To the Manager, ……………………..
Bank / Building Society
Address
Postcode:
Print Name[s]:
Please tick which payment date you want:
 Weekly (on a Monday)
 Fortnightly (on a Monday)
 Monthly 1st  Monthly 10th
 Monthly 15th  Monthly 28th
Please note that if you do not pick a payment date we
will set your collection day to be Monthly on the 1st of
the month.
If you select to pay on a monthly basis, and your
account is in arrears we will collect these on the first
payment unless you have an agreement. If this causes
difficulties, please contact us.
Instruction to your Bank or Building Society
Please pay Orbit Group Limited Direct Debits from the account
detailed in this Instruction subject to the safeguards assured by
the Direct Debit Guarantee. I understand that this Instruction may
remain with Orbit Limited and, if so, details will be passed
electronically to my Bank/Building Societ y.
Signature[s]:(if a joint account both must sign)
X………………………………………………………..
Date:
X……………………………………………………….
Which Orbit Account do you want set up at Direct Debit (Please tick all those that apply)? :
 Rent  Home owner  Orbit Alarm Service (ORU)  Garage
 Other account – see overleaf then enter the which one here ……………………………
Banks and Building Societies may not accept Direct Debit Instructions for some types of account
Please keep the information on the next page.
Direct Debit Guarantee
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This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit Orbit Group Limited will notify you 10
working days in advance of your account being debited or as otherwise agreed. If you request Orbit Group Limited to
collect a payment, confirmation of the amount and date will be given to you at the time of the request
If an error is made in the payment of your Direct Debit by Orbit Group Limited or your bank or building society you are
entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund
you are not entitled to, you must pay it back when Orbit Group Limited asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation
may be required. Please also notify us.
Privacy notice [version 2]
We are committed to our obligations in relation to the processing of personal identifiable information (PII) and
acknowledge that all individuals have a right to expect that their privacy is respected and adequately protected in line
with legislation (e.g. Data Protection Act 1998, Human Rights Act etc.). We use your personal identifiable information
(PII) to enable us to deliver our products and services and also to support your relationship with us as a
customer. We use a range of communication channels to keep our customers informed (e.g. SMS, email, social
media) dependent on what type of information we are sending out to you (e.g. newsletter by email). However, if you
have a preference in the way we communicate with you (e.g. prefer email), then please contact us to update your
records. More detailed information can be found in our Privacy Policy at www.orbit.org.uk/privacy-policy. Alternative
formats (e.g. braille) are available upon request.
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Apart from my rent or homeowner account what other accounts can I set up a direct debit?
 Supporting People - this is a sub account for which you pay for costs for your Independent
Living costs like the use of you Orbit Response pendant etc. You should only choose this
option if we have told you that you are required to pay for this service. If you are not sure
whether you have to pay for this you can opt for a live chat or ask for someone to contact you
via our website.
 Court Costs - this is where Orbit have taken you to court and we have been awarded costs to
take you to court which you have to pay.
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What is a Direct Debit?
It is a simple way to pay your Orbit rent or charges by making regular payments from your bank or
building society account automatically.
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What do I do if I have a query about a Direct Debit?
If you have any quetions you can call us:
 For Orbit South customers it is 0800 678 1221
 For Orbit Heart of England customers it is 0345 8 500 500
 For Orbit East Customers it is 0345 600 2535
 For Orbit Response and Orbit Group customers it is 02476 43800
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How much will my Direct Debit take each time?
Once you have sent us your completed form, we will confirm the amount[s] and when we will start
collecting at least 10 working says beforehand.
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I am in arrears and want to change my method of payment to Direct Debit, can I do this?
Yes you can but you need to have an existing agreement with us. If you don’t or unsure if you do,
please contact us.
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Why should I use Direct Debit?
It is quick and easy to set up. Payments will be made and credited to your account on time. There
is no charge for paying this way.
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